Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity

Detalhes bibliográficos
Autor(a) principal: Roessle,Thiago Ricardo
Data de Publicação: 2013
Outros Autores: Freitas,Claudia Diniz, Moscovici,Herman Fabian, Zamboni,Caio, Hungria,Jose Octavio Soares, Christian,Ralph Walter, Mercadante,Marcelo Tomanik
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Ortopedia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400357
Resumo: OBJECTIVE: To minimize the occurrence of missed injuries, the tertiary evaluation was introduced consisting of reassessment of the patient, 24 hours after admission, with: complete history, physical examination, review of exams and diagnostic testing if necessary. METHODS: Observational study evaluating trauma patients admitted to a teaching hospital in São Paulo, according to a protocol for tertiary evaluation. RESULTS: Between February and May 2012, for 12 weeks, 182 patients were submitted to tertiary evaluation, 100 (55%) polytraumatized and 82 (45%) were victims of low-energy trauma. Neglected lesions were observed in 21 (11.5%) patients, who had 28 missed injuries. Of these 28 lesions, seven (25%) required surgical treatment. CONCLUSION: Strategies including formal tertiary evaluation, the protocol applied for assessing trauma victims, seem to be beneficial in these patients, regardless of the mechanism of trauma. The method is easily applied, effective and has low cost in identifying missed injuries in the victims of trauma.
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spelling Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessityEvaluationMultiple traumaTrauma severity indices OBJECTIVE: To minimize the occurrence of missed injuries, the tertiary evaluation was introduced consisting of reassessment of the patient, 24 hours after admission, with: complete history, physical examination, review of exams and diagnostic testing if necessary. METHODS: Observational study evaluating trauma patients admitted to a teaching hospital in São Paulo, according to a protocol for tertiary evaluation. RESULTS: Between February and May 2012, for 12 weeks, 182 patients were submitted to tertiary evaluation, 100 (55%) polytraumatized and 82 (45%) were victims of low-energy trauma. Neglected lesions were observed in 21 (11.5%) patients, who had 28 missed injuries. Of these 28 lesions, seven (25%) required surgical treatment. CONCLUSION: Strategies including formal tertiary evaluation, the protocol applied for assessing trauma victims, seem to be beneficial in these patients, regardless of the mechanism of trauma. The method is easily applied, effective and has low cost in identifying missed injuries in the victims of trauma. Sociedade Brasileira de Ortopedia e Traumatologia2013-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400357Revista Brasileira de Ortopedia v.48 n.4 2013reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rbo.2012.08.008info:eu-repo/semantics/openAccessRoessle,Thiago RicardoFreitas,Claudia DinizMoscovici,Herman FabianZamboni,CaioHungria,Jose Octavio SoaresChristian,Ralph WalterMercadante,Marcelo Tomanikeng2014-02-25T00:00:00Zoai:scielo:S0102-36162013000400357Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2014-02-25T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false
dc.title.none.fl_str_mv Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity
title Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity
spellingShingle Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity
Roessle,Thiago Ricardo
Evaluation
Multiple trauma
Trauma severity indices
title_short Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity
title_full Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity
title_fullStr Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity
title_full_unstemmed Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity
title_sort Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity
author Roessle,Thiago Ricardo
author_facet Roessle,Thiago Ricardo
Freitas,Claudia Diniz
Moscovici,Herman Fabian
Zamboni,Caio
Hungria,Jose Octavio Soares
Christian,Ralph Walter
Mercadante,Marcelo Tomanik
author_role author
author2 Freitas,Claudia Diniz
Moscovici,Herman Fabian
Zamboni,Caio
Hungria,Jose Octavio Soares
Christian,Ralph Walter
Mercadante,Marcelo Tomanik
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Roessle,Thiago Ricardo
Freitas,Claudia Diniz
Moscovici,Herman Fabian
Zamboni,Caio
Hungria,Jose Octavio Soares
Christian,Ralph Walter
Mercadante,Marcelo Tomanik
dc.subject.por.fl_str_mv Evaluation
Multiple trauma
Trauma severity indices
topic Evaluation
Multiple trauma
Trauma severity indices
description OBJECTIVE: To minimize the occurrence of missed injuries, the tertiary evaluation was introduced consisting of reassessment of the patient, 24 hours after admission, with: complete history, physical examination, review of exams and diagnostic testing if necessary. METHODS: Observational study evaluating trauma patients admitted to a teaching hospital in São Paulo, according to a protocol for tertiary evaluation. RESULTS: Between February and May 2012, for 12 weeks, 182 patients were submitted to tertiary evaluation, 100 (55%) polytraumatized and 82 (45%) were victims of low-energy trauma. Neglected lesions were observed in 21 (11.5%) patients, who had 28 missed injuries. Of these 28 lesions, seven (25%) required surgical treatment. CONCLUSION: Strategies including formal tertiary evaluation, the protocol applied for assessing trauma victims, seem to be beneficial in these patients, regardless of the mechanism of trauma. The method is easily applied, effective and has low cost in identifying missed injuries in the victims of trauma.
publishDate 2013
dc.date.none.fl_str_mv 2013-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400357
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400357
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.rbo.2012.08.008
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
dc.source.none.fl_str_mv Revista Brasileira de Ortopedia v.48 n.4 2013
reponame:Revista Brasileira de Ortopedia (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
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